Information About Rank Order Lists and NRMP Policy

1. Information About Rank Order Lists and NRMP Policy 2013 Main Residency MatchSM

2. Getting Started • Listen to webcast: Creating a Rank Order List - http://www.nrmp.org/rol2013.pdf • Review ROL section of User Guide • Use your AAMC ID and password to login to the NRMP’s Registration, Ranking, and ResultsSM(R3SM) system • Couples must register both partners’ AAMC IDs in their NRMP files • Your NRMP/AAMC ID and your ERAS/AAMC ID must be the same

3. Definitions Match Status: ACTIVE Registered RANKING ROL started CERTIFIED ROL ROL finished Fee Status: PAID No fees due Credentials: VERIFIED By school (US, Osteo, Canadian applicants) EC FMG Status: VERIFIED By ECFMG (IMGs & 5th Pathway applicants) Match Status: ACTIVE Registered RANKING ROL started CERTIFIED ROL ROL finished Fee Status: PAID No fees due Credentials: VERIFIED By school (US, Osteo, Canadian applicants) ECFMG Status: VERIFIED By ECFMG (IMGs & 5th Pathway applicants)

21. Couples Information • Any two applicants can couple. A $15 per partner couples fee must be paid. • 30 unique programs can be ranked by each partner before extra rank fees apply. • Each partner enters his/her own list. Lists MUST have equal number of ranks. • Applicants participating as a couple can rank the same program more than once. • Applicants decide what constitutes an acceptable pair of programs. NRMP does not check this information. • Use special code (999999999) to indicate when one partner is willing to go unmatched if the other partner matches. Code should be used at bottom of lists when other acceptable program pairs have been exhausted. • Couples are matched on PRIMARY list only – supplemental rank order lists are NOT linked.

22. Couples Verification

23. NRMP Fees • Registration fee $50 • Late registration $50 additional (after Nov 30) • Couples $15 per partner • Primary ROL 1-20 programs: No charge • Additional programs $30 per program ranked • Supplemental ROL(s) 1-20 programs: No charge • Additional programs $30 per program ranked on all • supplemental lists combined • Couples ROL 30 programs before extra • fees are charged

24. Deadlines and Dates • January 15, 2013Ranking opens in R3 • January 31, 2013Final program quotas • February 20, 2013 Ranking closes in R3 • 9:00 p.m. eastern • March 11, 2013 Did I match? • 12:00 noon eastern • March 11, 2013 List of Unfilled Programs • 12:00 noon eastern (SOAP begins) • March 15, 2013 Match Day • 1:00 p.m. eastern Where Did I match?

25. Strategies • Refer to Charting Outcomes in the Match • Assess competitiveness • Specialty • Program • Yourself • Assess the program • Make your ROL long enough • Go for the “reach” program • Include a “safety” program

26. How the Match Algorithm Works • Applicant proposing • Starts with an attempt to place an applicant in the program ranked #1 by the applicant • A tentativematch occurs: • if the program also ranked the applicant and • the program has unfilled positions • if the program is filled but the applicant is ranked higher than another applicant tentatively matched to that program

27. How the Match Algorithm Works • There is nomatch if: • the program did not rank the applicant • the program ranked the applicant but is filled with other applicants more preferred by the program • Matches are final when: • when the algorithm completes its cycles, all tentative matches become final • Couples match when: • the algorithm places a couple in their highest ranked pair of programs on the PRIMARY list where BOTH matched

29. The Match Commitment • SECTION 5.1: • “The listing of an applicant by a program on its certified rank order list or of a program by an applicant on the applicant's certified rank order list establishes a binding commitment to offer or to accept an appointment if a match results and to begin training in good faith on the date specified in the appointment contract.The same binding commitment is established during the Match Week Supplemental Offer and Acceptance ProgramSM(SOAPSM) if a program offers a position by listing an applicant on its preference list and the applicant accepts that offer. • Failure to honor this commitment by either party participating in a Match will be a breach of this Agreement and may result in penalties to the breaching program or applicant…an applicant who terminates or resigns a position within 45 days of the start date in the appointment contract shall be presumed to have breached this Agreement…”

30. Match Waivers • In limited circumstances, the NRMP may grant a waiver of the Match commitment. • Applicants: • Hardship • Change of specialty • must be requested by January 15 • Completion of residency postponed • Waivers must be requested from, and can be granted only by, the NRMP.

31. Match Waivers - Consequences If a waiver is approved: • The applicant may obtain another position or participate in future Match and the program may begin to recruit for the position. If a waiver is not approved: • Both the applicant and program are expected to honor the Match commitment. • Failure of either party to honor the Match commitment is grounds for a violation investigation and the levying of sanctions.

32. Communication between Applicants and Programs • 6.0 Restrictions on Persuasion • “One of the purposes of the Main Residency Match is to allow both applicants and programs to make selection decisions on a uniform schedule and without coercion or undue or unwarranted pressure. Both applicants and programs may express their interest in each other; however, they shall not solicit verbal or written statements implying a commitment. Applicants shall at all times be free to keep confidential the names or identities of programs to which they have or may apply.”

33. Communication between Applicants and Programs • Section 6.0: • It is a breach of the Match Participation Agreement for: • (a) a program to request applicants to reveal ranking preferences; or • (b) an applicant to suggest or inform a program that placement on a rank order list or acceptance of an offer during SOAP is contingent upon submission of a verbal or written statement indicating the program’s preference; or • (c) a program to suggest or inform an applicant that placement on a rank order list or a SOAP preference list is contingent upon submission of a verbal or written statement indicating the applicant’s preference; or • (d) a program to require applicants to reveal the names or identities of programs to which they have or may apply; or • (e) a program and an applicant in the Main Residency Match to make any verbal or written contract for appointment to a concurrent year residency or fellowship position prior to the release of the List of Unfilled Programs.

34. Examples of Prohibited Communication • In the 2013 Main Residency Match, Dr. Holly Golightly interviewed with the Radiation-Oncology Program at American Hospital Center. She was encouraged at the end of her interview to send the program director a note indicating her level of interest so that the director would know how or whether to rank her. • In the 2013 Main Residency Match, Dr. Harry Potter interviewed with the General Surgery program at Hogwarts Medical Center. Dr. Potter was unsure how to respond when the program director asked where else he planned to interview and if he planned to rank the Hogwarts program as his first choice.

35. FAMOUS EASTERN MEDICAL SCHOOLGENERAL HOSPITAL • Dear Applicant: • We have thoroughly enjoyed your visit with us and it is clear that you will excel wherever you choose to go. • You represent the kind of candidate that has traditionally done well in our program and we hope to have the opportunity to work with you in the coming year. • Yours sincerely, • Program Director

36. Violation Investigations • Report potential violation to Executive Director • Information gathered by NRMP • Preliminary Report reviewed by all parties • Case reviewed by Violations Committee • Review Panel Report to violator • Violator can arbitrate • Final Report distributed • Violation policy is at http://www.nrmp.org/res_match/policies/violations.html

37. Violation by an Applicant • Final Report sent to: • Applicant’s medical school • Directors of residency programs • American Board of Medical Specialties • FSMB* (if applicant is to be permanently barred) • Interested parties • Applicant may be identified as a Match violator in R3 System or barred from future Matches for one to three years, or permanently. • Applicant may be barred from Match-participating programs for one year.

39. NRMP Rule for U.S. Seniors Sponsoring institutions that register any programs in the Main Residency Match agree to select senior students of U.S. allopathic medical schools for all of their programs only through the Main Residency Match or another national matching plan. In addition, programs participating in the Main Residency Matchagree to select senior students of U.S. allopathic medical schools only through the Main Residency Match.

40. All In Policy Programs participating in the Main Residency Match must register and attempt to fill all positions through the Main Residency Match or another national matching program.

41. Final Considerations • Do not wait until the last minute to enter your rank order list. The servers may be overloaded and very slow. • Do not make last minute changes to your rank order list. Most such changes are not well thought out and applicants frequently regret the changes. • No changes can be made to ROLs after 9:00 p.m. EASTERN time February 20, and only certified lists will be used in the Match. • The NRMP will NOT enter a list, add, delete or move programs or in any way modify a rank order list.

42. Summary • Prepare a rank order list worksheet with program codes in order of preference before entering them on the “My Rank Order List” screen. • Be sure to certify your rank order list. • Complete your list at least a week before the February 20 deadline. • Relax!

43. For more information visit: www.nrmp.org “Main Residency Match” Like us on Facebook www.facebook.com/TheNRMP Follow us on Twitter @TheNRMP

44. Questions? • 202-400-2233or • 1-866-653-6767 (toll-free) • Email: support@nrmp.org